Basic Information
Provider Information
NPI: 1922064005
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COMPTON
FirstName: DAVID
MiddleName: ALAN
NamePrefix:  
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 231 WENDOVER HEIGHTS CIR
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282111348
CountryCode: US
TelephoneNumber: 7042190750
FaxNumber:  
Practice Location
Address1: 1614 SOUTH BLVD
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282034726
CountryCode: US
TelephoneNumber: 7043381268
FaxNumber: 7043389358
Other Information
ProviderEnumerationDate: 04/26/2006
LastUpdateDate: 06/01/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083X0100X34284NCN Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
2083P0500X34284NCN Allopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
208D00000X34284NCY Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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